Individual
MR. GREGORY A BRIDGES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
838 S 4TH ST, SPRINGFIELD, IL 62703-2274
(217) 859-4248
Mailing address
838 S 4TH ST, SPRINGFIELD, IL 62703-2274
(217) 859-4248
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227023038
IL
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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